| Barnes Family Dentistry, Pa | |
|
5910 U S Highway 49 Ste 15 Hattiesburg MS 39401-7585 | |
| (601) 545-7055 | |
| (601) 545-7058 |
| Full Name | Barnes Family Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5910 U S Highway 49 Ste 15, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Carletta Yalonda Barnes-ekunwe (PRESIDENT) |
| Authorized Official Contact | 6015457055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barnes Family Dentistry, Pa 5910 U S Highway 49 Ste 15 Hattiesburg MS 39401-7585 Ph: () - | Barnes Family Dentistry, Pa 5910 U S Highway 49 Ste 15 Hattiesburg MS 39401-7585 Ph: (601) 545-7055 |
| NPI Number | 1235254467 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 12/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235254467 | NPI | - | NPPES |
| 04573273 | Medicaid | MS | |
| 09823388 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3248-03 (Mississippi) | Primary |
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